Identifier: atlasepitomeofgy00scha (find matches)
Title: Atlas and epitome of gynecology
Year: 1900 (1900s)
Authors: Schaeffer, Oskar. (from old catalog) Norris, Richard Cooper, 1863- (from old catalog) ed
Subjects: Women
Publisher: Philadelphia, W. B. Saunders & company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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eks. The disadvantage of this method consists in the permanent tractionupon the bladder. Fritsch unites the stump as does Schroder, using- sagittal instead oftransverse sutures, and sews it into the lower angle of the abdominalincision. On the ninth day he removes the coaptation sutures of thestump from the bottom of the wound. 3. Chrobak fixes the stump behind the peritoneum (consequentlyan extraperitoneal method) by covering it with a peritoneal flap pre-viously excised either from the tumor or from the uterus. III. Total extirpation guarantees the greatest security against sec-ondary infection of the peritoneal cavity from the secreting or partlynecrotic stump obtained by the supravaginal method: l it is. however,a more radical operation. In certain cases it is absolutely indicated, 1 At the Heidelberg Frauenklinik. in 1896, thirty myomotomies wereperformed (the stump being treated by the retroperitoneal method)with two deaths, one from pulmonary embolism, one from severeanemia. 00
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TREATMENT. 211 as in pyosalpinx (Plate 42) and cervical myomata (Plate 65). Theovarian arteries are ligated, transverse incisions are made in the vesico-uterine and recto-uterine excavations, and the ligaments are successivelyligated and divided. The neck is amputated in such a manner that avery small portion remains behind with the external os (the orificemay be cauterized). This wound is to be united by some nondrainingsuture material (silkworm-gut). Catgut ligatures are used in theparametritic cellular tissues and in the serosa. IV. Hegars castration is only a makeshift. It is to be performedonly when the removal of the myomata must be looked upon asdangerous to life (very large myomata with multiple subserous nod-ules preventing their removal from the pelvic cavity). The operationhas a mortality of 16 %, because the ovaries are frequently so close tothe tumor that the ligation of the vessels is very difficult. In manycases the looked-for result has failed to appear. The ligation o

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